Organization
SOUTH GEORGIA NEUROLOGICAL ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY GEORGE GIATRAS M.D. (OWNER)
(229) 391-3390
Entity
Organization
Contact information
Practice address
907 18TH ST E STE 190, TIFTON, GA 31794-3600
(229) 391-3390
(229) 391-3399
Mailing address
907 18TH ST E STE 190, TIFTON, GA 31794-3600
(229) 391-3390
(229) 391-3399
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
GA042576
GA
2084N0600X
Clinical Neurophysiology Physician
Primary
GA042576
GA
Other
Enumeration date
12/21/2006
Last updated
01/09/2008
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